Silashwa kanjani isifo sofuba

-Delile

• 1. Isifo sofuba sezinsana
• 2. Isifo sofuba esisebenzayo
• Ungayisebenzisa kanjani i-vitamin D ukusheshisa ukwelashwa
• Imiphumela engemihle yokwelashwa
• Izimpawu zokuthuthuka
• Izimpawu zokuwohloka

Ukwelashwa kwesifo sofuba kwenziwa ngemithi elwa namagciwane ngomlomo, njenge-Isoniazid neRifampicin, eqeda amagciwane abangela ukuthi lesi sifo sivele emzimbeni. Njengoba ibhaktheriya limelana kakhulu, kuyadingeka ukuthi welashwe izinyanga eziyisithupha, yize kwezinye izimo, lingahlala phakathi kwezinyanga eziyi-18 kuye eminyakeni emi-2 kuze kube kutholakala ukuphulukiswa okuphelele.

Izimo ezilula ukwelashwa yilezo zesifo sofuba esifihlekile, okuwukuthi, lapho amabhaktheriya esemzimbeni kodwa elele, engabangeli zimpawu, futhi engenakudluliswa. Isifo sofuba esisebenzayo, ngakolunye uhlangothi, kunzima kakhulu ukuselapha, ngakho-ke, ukwelashwa kungathatha isikhathi eside futhi kungadingeka ukuphuza ama-antibiotic angaphezu kweyodwa ukuthola ikhambi.

Ngakho-ke, izidakamizwa ezisetshenziswa ekwelashweni ziyahlukahluka kuye ngeminyaka yesiguli, impilo ejwayelekile nohlobo lwesifo sofuba, ngakho-ke, sidinga ukukhonjiswa ngudokotela. Kodwa-ke, amakhambi asekhaya angasiza ukugcwalisa ukwelashwa. Bheka amakhambi asekhaya amahle kakhulu wesifo sofuba.

1. Isifo sofuba sezinsana

Kunamakhambi ama-3 asetshenziswa kakhulu ukwelapha lolu hlobo lwesifo sofuba, okubandakanya i-Isoniazid, Rifampicin neRifapentine. Udokotela uvame ukusinikeza eyodwa kuphela yalezi zifo ezibulala amagciwane, okufanele isetshenziselwe izinyanga eziyisithupha kuya kweziyi-9 kuze kube yilapho amabhaktheriya esuswe ngokuphelele futhi umphumela uqinisekiswa ngokuhlolwa kwegazi.

Yize amabhaktheriya elele, kubaluleke kakhulu ukwelapha isifo sofuba esifihlekile ngoba lesi sifo singasebenza noma nini futhi kunzima ukuselapha.

2. Isifo sofuba esisebenzayo

Ezimweni zesifo sofuba esisebenzayo, inani lama-bacteria liphezulu kakhulu futhi, ngakho-ke, amasosha omzimba awakwazi ukulwa nokutheleleka eyedwa, kuyadingeka ukusebenzisa inhlanganisela yama-antibiotic amaningana izinyanga ezingaphezu kwezingu-6. Izindlela ezisetshenziswa kakhulu yilezi:

• Isoniazid;
• I-Rifampicin;
• I-Ethambutol;
• I-Pyrazinamide.

Ukwelashwa kufanele kuqhubeke noma ngabe izimpawu sezinyamalele, ukuqinisekisa ukuqedwa ngokuphelele kwamagciwane. Ngakho-ke, kubalulekile ukuhlonipha isikhathi sokwelashwa okukhonjiswe ngudokotela, futhi umuthi kufanele uphuzwe nsuku zonke, ngaso sonke isikhathi ngasikhathi sinye kuze kube yilapho udokotela esho ukuthi angayeka.

Ngesikhathi sokwelashwa kwesifo sofuba samaphaphu, esenzeka lapho ukutheleleka sekusemaphashini, kubaluleke kakhulu ukuthatha izinyathelo ezithile ngesikhathi sokwelashwa, njengokuhlala ekhaya, ukugwema ukuthintana nabanye abantu nokuvala umlomo wakho uma ukhwehlela noma uthimula, ngoba isibonelo, ukuvimbela ukudluliswa kwalesi sifo, ikakhulukazi phakathi kwamasonto amabili kuya kwamathathu okuqala.

Ungayisebenzisa kanjani i-vitamin D ukusheshisa ukwelashwa

UVitamin D ungenye yamakhambi okuqala asetshenziswa ukwelapha isifo sofuba ngaphambi kokuba kube khona ama-antibiotic athile okwelapha lesi sifo. Esikhathini esedlule, iziguli ezinofuba zazivezwa yimisebe yelanga futhi, yize isizathu sokukhanya kwelanga sasingaziwa, iziguli eziningi zathuthuka.

Njengamanje, uvithamini D waziwa njengomlawuli obalulekile wamasosha omzimba osiza amangqamuzana okuvikela ukuqeda amaprotheni amabi okuvuvukala nokukhiqiza amaprotheni amaningi asiza ukuqeda amabhaktheriya, njengalawo abangela isifo sofuba.

Ngakho-ke, ukwenza ngcono ukwelashwa noma ukugwema ukutheleleka ngesifo sofuba, kunconywa ukuthi kwandiswe amazinga kavithamini D emzimbeni ngokudla ukudla okunothe ku-vitamin D nokuvezwa yilanga ngesikrini selanga esanele nangaphandle kwamahora engozi enkulu.

Imiphumela engemihle yokwelashwa

Imiphumela emibi ekwelapheni lesi sifo ayivamile, noma kunjalo, njengoba ama-antibiotic asetshenziswe isikhathi eside, imiphumela emibi efana nale:

• Isicanucanu, ukuhlanza nokuhuda njalo;
• Ukuphelelwa isifiso sokudla;
• Isikhumba esiphuzi;
• Umchamo omnyama;
• Umkhuhlane ongaphezu kuka-38º C.

Lapho kuvela imiphumela emibi, kuyalulekwa ukwazisa udokotela owanikeze umuthi, ukuhlola ukuthi kunesidingo sokushintsha umuthi noma ukuguqula umthamo wokwelashwa.

Izimpawu zokuthuthuka

Izimpawu zokuthuthuka kofuba zivela cishe emavikini amabili ngemuva kokuqala kokwelashwa futhi zibandakanya ukuncipha kokukhathala, ukunyamalala kwemfiva nokukhululeka kobuhlungu bemisipha.

Izimpawu zokuwohloka

Izimpawu zokuwohloka zivame kakhulu lapho ukwelashwa kungaqalwa ngesikhathi, ikakhulukazi ezimweni zesifo sofuba esivele lapho isiguli singazi ukuthi singenwe yilesi sifo, futhi sifaka ukuqala komkhuhlane ongaphezu kuka-38º C, ukuqaqamba komzimba, ukujuluka ebusuku nobuhlungu bemisipha .

Ngaphezu kwalokho, ngokuya ngendawo ethintekile, kungavela nezimpawu ezithile ezifana nokukhwehlela okunegazi, ukuvuvukala kwendawo ethintekile noma ukwehla kwesisindo.